Abstract
Fractures of the tibial spine usually occur in children aged 8 to 14 years. Usually, radiographs will demonstrate a tibial spine fracture, with the degree of displacement. Tibial spine fractures in younger children have not been reported in the previously published literature. We report a tibial spine fracture that occurred in 5-year-old girl. The cartilaginous avulsion fracture of the tibial spine was not revealed by radiographs because it was limited to the cartilaginous portion of the proximal tibia.
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References
Lewis E, Zionts MD. Fractures around the knee in children. J Am Acad Orthop Surg 2002; 10: 345–355.
William K, Accousti MD, Baxter R, Willis MD. Tibial eminence fractures. Orthop Clin N Am 2003; 34: 365–375.
Meyers MH, McKeever FM. Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg 1970; 52-A: 1677–1684.
Behr CT, Potter HG, Paletta GA Jr. The relationship of the femoral origin of the anterior cruciate ligament and the distal femoral physeal plate in the skeletally immature knee. An anatomic study. Am J Sports Med 2001; 29(6): 781–787.
Stanitski CL. Anterior cruciate ligament injury in the skeletally immature patients: diagnosis and treatment. J Am Acad Orthop Surg 1995; 3(3): 146–158.
Stanitski CL. Anterior cruciate ligament injuries and acute tibial eminence fractures in skeletally immature patients. In: Insall JN, editor. Surgery of the knee, 3rd edition. New York: Churchill Livingstone; 2001. p 1415–1425.
Noyes FR, Delucas JL, Torvik PJ. Biomechanics of ACL failure: an analysis of strain-rate sensitivity and mechanism of failure in primates. J Bone Joint Surg 1974; 56-A: 236–253.
Woo SL-Y, Hollis JM, Adams DJ, et al. Tensile properties of the human femur-anterior cruciate ligament-tibia complex: the effects of specimen age and orientation. Am J Sports Med 1991; 19: 212–217.
Baxter MP, Willey JJ. Fractures of the tibial spine in children. An evaluation of knee stability. J Bone Joint Surg 1988; 70-B: 228–230.
Mah JY, Adili A, Otsuka NY, et al. Follow-up study of arthroscopic reduction and fixation of type III tibial eminence fractures. J Pediatr Orthop 1998; 18: 475–477.
Mulhall KJ, Dowdall J, Grannell M, et al. Tibial spine fractures. An analysis of outcome in surgically treated type III injuries. Injury 1999; 30: 289–292.
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Study conducted at: Chonbuk National University, Medical School, Jeonju, South Korea.
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Kim, J.R., Song, J.H., Lee, J.H. et al. Cartilaginous avulsion fracture of the tibial spine in a 5-year-old girl. Skeletal Radiol 37, 343–345 (2008). https://doi.org/10.1007/s00256-007-0428-x
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DOI: https://doi.org/10.1007/s00256-007-0428-x